Bianca Kaitlyn Oldershaw, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010069 Issued in GA

Practice address

225 Franklin Rd Unit 4407
Atlanta, GA 30342-2794

Phone

(570) 574-4152

NPI assigned

Jun 11, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clear Care Accident and Injury, LLC

  • Chiropractor
  • Marietta, GA
  • NPI 1124843636
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1356834790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 FRANKLIN RD UNIT 4407",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422794",
            "telephone_number": "570-574-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 FRANKLIN RD UNIT 4407",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422794",
            "telephone_number": "570-574-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDERSHAW",
        "first_name": "BIANCA",
        "middle_name": "KAITLYN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Augusta H Olatidoye, LPC
• Adedeji Olatoto, NP
• Comfort Olawoyin
• Adegboyega Olaseni Olayode, MBBS
• Old National Primary Care Clinic, LLC
• Nicole S Olds, PAAA
• Noelle Yaeger Oleary, MPH, RD, LD
• Anne Olesen, P.A.
• Jeanine Oliga, MD
• Morcquess Dae-Oni'Lei Oliphant, MEDICAL STUDENT

• Chiropractor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.